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  • Nutcracker Esophagus

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    drnareshkumar3281
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    The patient presented with nutcracker esophagus, the chief complaint, with symptoms of chest pain, dysphagia, difficulty swallowing, and heartburn. Tests ordered to evaluate the condition included barium swallow, esophageal manometry, blood tests, CT scan, ultrasound, pH recording, and endoscopy. The assessment and plan discussed surgical options like myotomy and esophagectomy, as well as medications to treat symptoms and follow-up care.

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    The patient presented with nutcracker esophagus, the chief complaint, with symptoms of chest pain, dysphagia, difficulty swallowing, and heartburn. Tests ordered to evaluate the condition included barium swallow, esophageal manometry, blood tests, CT scan, ultrasound, pH recording, and endoscopy. The assessment and plan discussed surgical options like myotomy and esophagectomy, as well as medications to treat symptoms and follow-up care.

    Copyright:

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    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    22 views2 pages

    Nutcracker Esophagus

    Uploaded by

    drnareshkumar3281
    The patient presented with nutcracker esophagus, the chief complaint, with symptoms of chest pain, dysphagia, difficulty swallowing, and heartburn. Tests ordered to evaluate the condition included barium swallow, esophageal manometry, blood tests, CT scan, ultrasound, pH recording, and endoscopy. The assessment and plan discussed surgical options like myotomy and esophagectomy, as well as medications to treat symptoms and follow-up care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    NUTCRACKER ESOPHAGUS

    1. CHIEF COMPLAINT
    •Nutcracker esophagus

    2. HPI

    3. ROS

    4. SYMPTOMS
    •Chest pain
    •Dysphagia
    •Difficulty swallowing
    •Heartburn

    5. HISTORY
    •FAMILY HISTORY
    o Diabetes
    •SOCIAL HISTORY
    •PASTMEDICAL HISTORY
    •SURGICAL HISTORY
    •CHRONIC CONDITIONS

    6. ALLERGIES

    7. PHYSICAL EXAMINATION

    8. SPECIFIC DATA LIKE GRADING ETC

    9. TESTS TO BE ORDERED
    •Barium swallow
    •Esophageal manometry
    •Blood sugar
    •Hemoglobin A1C
    •CT scan
    •Catheter-based high-frequency intraluminal ultrasound
    •Esophageal pH recording
    •Endoscopy

    10.ASSESSMENT /PLAN
    Surgical Care
    •Myotomy
    •Esophagectomy

    11.EDUCATION

    12.MEDICATION
    •Diltiazem
    •Isosorbide dinitrate
    •Sildenafil
    •Trazodone
    •Imipramine
    •Botulinum toxin

    13.FOLLOW-UP

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